Provider Demographics
NPI:1851143739
Name:LITTLEJOHN, JAMES (AMFT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LITTLEJOHN
Suffix:
Gender:X
Credentials:AMFT
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:LITTLEJOHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AMFT
Mailing Address - Street 1:PO BOX 421612
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-0612
Mailing Address - Country:US
Mailing Address - Phone:615-428-5241
Mailing Address - Fax:
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-660-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA138569106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist